Registered Nurse Case Manager - East Texas

CVS Health • Tyler, TX

10d • $54,095 - $116,760 • Onsite

About The Position

The RN, Case Manager partners with the primary care provider (PCP) and leads care management activities for complex patients. The role drives care coordination and works with interdisciplinary teams to support continuity of care, prevent avoidable admissions, use resources efficiently, and deliver effective team-based care. It is a field-based, in-person/on-site role requiring strong relationships with patients, providers, and care team members. The position is based at the Tyler or Longview clinic, subject to adjustment based on clinic needs.

The nurse manages an assigned caseload in a value-based care environment, coordinates transitions of care, performs nursing assessments, educates patients and families, and documents clinical activity in the electronic health record. The role is full-time, with 40 anticipated weekly hours. The typical pay range is $54,095.00–$116,760.00, with eligibility for a CVS Health bonus, commission, or short-term incentive program. The position is also eligible for a comprehensive benefits package, based on eligibility.

Requirements

• Current RN license in the assigned state.
• Minimum of 6–8 years of nursing experience.
• Certified Case Manager (CCM), or willingness to obtain certification within 12 months of hire, unless the candidate has 2–3 years of relevant care or case management experience.
• Demonstrated skills in motivational interviewing, patient activation, time management, and navigating community and social resources.
• Flexible and positive attitude; comfort with ambiguity and change.
• High emotional intelligence, including the ability to consider multiple perspectives in resolving problems.
• Reliable transportation and ability to travel throughout the communities served by Oak Street Health.
• US work authorization.
• Someone who embodies being Oaky: radiating positive energy, assuming good intentions, creating an unmatched patient experience, driving clinical excellence, taking ownership and delivering results, and being relentlessly determined.

Nice To Haves

• Bachelor’s degree in nursing preferred.
• Fluency in Spanish or other languages spoken by people in the communities served is strongly preferred.
• Two or more years of experience in transitional nursing, emergency room nursing, care coordination, discharge planning, or home health is strongly preferred.

Responsibilities

• Manage an assigned caseload of complex patients in a value-based care environment, focusing on reducing admissions, readmissions, and medical utilization.
• Be accountable for panel performance on admission prevention, readmission prevention, and transitions-of-care metrics.
• Own care coordination for assigned patients as the primary point of contact, ensuring alignment, accountability, and follow-through across the care team.
• Manage transitions-of-care episodes, including completing timely structured clinical assessments to identify post-discharge needs, performing medication reconciliation on behalf of the PCP, and addressing identified needs directly or with other team members.
• Collaborate with the patient’s PCP, family or caregiver, social worker, behavioral health specialists, and other care team members to evaluate needs, goals, and plans and ensure care plan progression.
• Document key clinical assessments promptly after admissions while balancing in-center care team planning meetings.
• Lead in-person interdisciplinary care planning meetings to support coordination and management between provider visits.
• Perform timely nursing assessments and provide education for chronic condition management and transitions of care.
• Educate patients and families, empower them in their care, and advocate for their needs.
• Document visits in the electronic health record according to internal standards.
• Perform other duties as assigned.

Benefits

• Paid vacation and sick time.
• 401(k) match options and retirement savings options.
• Health insurance, including medical, dental, and vision coverage.
• Leadership development opportunities and continuing education stipends.
• Paid time off.
• Wellness programs and other resources, based on eligibility.
• Eligibility for a CVS Health bonus, commission, or short-term incentive program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed